Organization
EMPATHIC CARE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE M BLACKWOOD LADC (CLINICIAN)
(860) 380-7228
Entity
Organization
Contact information
Practice address
357 EAST CENTER STREET, MANCHESTER, CT 06108
(860) 380-7228
Mailing address
357 E CENTER ST, MANCHESTER, CT 06040-4472
(860) 380-7228
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1239
CT
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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